TEACHER RECOMMENDATION FORM


_ has applied for enrollment in the _ (Health Science) Work-Based Learning program. Students in this program receive classroom instruction in workplace practices and procedures, and are placed in training stations where they develop skills and obtain valuable experience under supervision. The cooperation of business and industry will continue only if the students they employ have the proper attitude and interest to profit from on-the-job training toward a career objective/pathway. Using your knowledge of the student, please rate the student on the characteristics indicated.

Rate qualities by checking the proper right-hand column.		Poor		Below Average		Average	Above Average		Superior
Dependability: Able to work with little supervision, prompt, sincere, consistent, truthful, follows instruction

Cultural Refinement: Courteous, considerate, good manners, appreciative

Leadership: Aggressive, resourceful, able to inspire others

Industriousness: Persistent, good work habits, makes wise use of time

Thoroughness: Accurate, completes work carefully

Appearance and Grooming: Clean, neat appearance, orderly, poised

Ability to Get Along With People: Adaptable, friendly, tactfully, cooperative, respectable

Social Habits: Good attitude, self-control, honesty, not inclined to argue or complain

Attendance: Present and on time, begins work at once without delay

Mental Alertness: Attentive, interested, observing, eager to learn

Academic Performance: Completes assignments, follows instructions, meets deadlines, masters content

Employability

If you were an employer or job supervisor, would you want this student working for you? ( ) Yes ( ) No
Would you be willing for this student to represent the school on the job? ( ) Yes ( ) No


Signature
Date_


(Evaluating Teacher)